MR. DOUGLAS ALAN CIPRIANO M.D.
NPI 1164597431
Orthopaedic Surgery - Sports Medicine in Sandpoint, ID

Q: What is Douglas Cipriano's NPI number?

The NPI number for Douglas Cipriano is 1164597431. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Douglas Cipriano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Cipriano was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment

606 N. 3RD AVENUE, SUITE 201, SANDPOINT, ID 83864(208) 263-8597(208) 265-0667 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Douglas Alan Cipriano M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS ALAN CIPRIANO M.D. (NPI 1164597431) is an individual sports medicine provider in Sandpoint, Idaho, licensed in Idaho (M6568) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of University Of Utah School Of Medicine (1994).

NPPES Registry Identity

NPI1164597431

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameMR. DOUGLAS ALAN CIPRIANOCredential: M.D.

Location Address606 N. 3RD AVENUE, SUITE 201Sandpoint, ID 83864-1689

Mailing Address606 N. 3rd Avenue, Suite 201Sandpoint, ID 83864-1689 · (208) 263-8597 · Fax (208) 265-0667

Phone(208) 263-8597

Fax(208) 265-0667

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1994

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 1, 2009

✔ NPI 1164597431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in ID · M6568

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

606 N. 3RD AVENUE, Sandpoint, ID 83864

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Other Identifiers 10

Medicaid8464828WA

OtherP00041410ID · Railroad Medicare

Other360191400ID · Us Dept Of Labor

Other000010000103ID · Regence Blue Shield

Other76559ID · Blue Cross

Medicaid002777500ID

Medicare NSC4837030001ID

Other1009215ID · Idaho State Insurance

Medicaid1164597431MT

Medicare PIN1130537ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas Alan Cipriano M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678597101

PECOS Enrollment IDI20060202000200

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Cipriano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bonner General Hospital, Inc

Same address

Sports Medicine

606 N 3RD AVE STE 201
Sandpoint, ID 83864

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1154563963 (Idaho)
75 clinicians in this Medicare group

NPI 1982060984 (208) 263-8597

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

258 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services68 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services63 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

61 services38 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

52 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

50 services40 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

42 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

20 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

19 services12 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

13 services11 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

12 services12 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

12 services12 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services12 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Boundary Community Hospital

Critical Access Hospitals · Bonners Ferry, ID

OwnershipVoluntary non-profit - Other

CMS Certification Number131301

Location6640 Kaniksu StreetBonners Ferry, ID 83805 · Boundary County

Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131328

Location520 North Third AvenueSandpoint, ID 83864 · Bonner County

Emergency services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Cipriano's NPI number?

The NPI number for Douglas Cipriano is 1164597431. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Douglas Cipriano located?

Douglas Cipriano practices at 606 N. 3rd Avenue Suite 201, Sandpoint, ID 83864. The listed phone number is (208) 263-8597.

What is Douglas Cipriano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Douglas Cipriano enrolled in Medicare?

Yes. Douglas Cipriano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Douglas Cipriano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Cipriano reassigns Medicare benefits to Bonner General Hospital, Inc (Sandpoint, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Cipriano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Cipriano accept?

Health plans from Ambetter Health, Molina Healthcare, Providence Health Plan and Select Health list Douglas Cipriano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Cipriano affiliated with any hospitals?

According to CMS data, Douglas Cipriano is affiliated with Kootenai Health, Boundary Community Hospital and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Cipriano was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.